Individual
MEGAN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2913 ELM ST, WEST DES MOINES, IA 50265-6221
(515) 971-4588
Mailing address
2913 ELM ST, WEST DES MOINES, IA 50265-6221
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002358
IA
Other
Enumeration date
02/09/2017
Last updated
05/04/2020
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